{"title":"The Phenomenology of Complex PTSD in Adolescence","authors":"Sakhardande Kasturi Atmaram, Shalu Elizabeth, Tony Lazar Thomas, Harshini Manohar, Eesha Sharma","doi":"10.1177/09731342231221352","DOIUrl":"https://doi.org/10.1177/09731342231221352","url":null,"abstract":"Posttraumatic stress disorder and complex posttraumatic stress disorder (PTSD and C-PTSD) can present at any age. Compared to younger children and adults, adolescents who are undergoing critical developmental changes in self-concept and socio-emotional abilities have heightened vulnerabilities to the impact of traumatic life events. C-PTSD may be often missed in adolescence, for depressive, anxiety, and even personality disorders and this deprives the adolescent of specific trauma and attachment focused psychotherapeutic interventions that are primary and essential for management. In this article, we present three case summaries to illustrate the phenomenology of C-PTSD in adolescence. The implication is for clinicians to be aware of, and hone their skills in the identification of this disorder in young people.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manoj Kumar Sahoo, Snigdha Awasthi, Harshita Biswas, S. Padhy
{"title":"School Refusal Behavior: A Narrative Review Journal of Indian Association for Child and","authors":"Manoj Kumar Sahoo, Snigdha Awasthi, Harshita Biswas, S. Padhy","doi":"10.1177/09731342231220705","DOIUrl":"https://doi.org/10.1177/09731342231220705","url":null,"abstract":"This narrative review aims to identify key concepts associated with school refusal, including various risk factors, and to discuss current practical assessment and treatment methods available or under trial. For this study, we searched MEDLINE and Scopus databases for articles containing keywords like “school refusal” and associated keywords such as “childhood,” “adolescence,” “risk factors,” “interventions,” and “assessment.” Thirty-eight original articles in English containing these keywords, published in the last 10 years on the above platforms, were included. We excluded studies focusing on school refusal solely in a subset of the population, such as autistic children or immigrant children. This review found that in India, school refusal is often ignored, especially in lower socioeconomic families, due to non-affordability and poor access to appropriate resources, and is sometimes also equated with truancy and bad behavior. Various risk factors at the parental and school level promote this behavior, and therefore, appropriate interventions at these levels are necessary. As per current evidence, psychoeducation and multidisciplinary treatments are the most effective in managing such children. Early detection of such cases and coordinated efforts by all stakeholders are crucial for effective intervention.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Abuse on Mental Health and Happiness Among Students: Mediating Role of Family Environment","authors":"Aneesh Kumar, Sibnath Deb, Bhagyalakshmi KC","doi":"10.1177/09731342231217075","DOIUrl":"https://doi.org/10.1177/09731342231217075","url":null,"abstract":"Child abuse and neglect is an issue of concern for public health professionals. The impact of abuse may lead to poor physical and mental health conditions. Family environment may impact coping and recovery among victims of abuse. The association between child abuse, mental health, happiness, and family environment is complex. The study examines the association and pathways between child abuse exposure, mental health and happiness, while exploring the potentially mediating effect of the family environment. Data were collected from 571 high school students from Kerala, India, by using various tools, including a semi-structured questionnaire, Depression and Anxiety Youth Scale, and happiness scale. A mediation analysis using structural equation modeling (SEM) was carried out to test the objectives of the study. The analysis shows that mental health, happiness, and family environment are correlated with abuse experience. The mediation analysis further shows that the indirect effect of abuse on mental health via the family environment was significant (β = 0.013, 95% CI [0.002, 0.033]). The indirect effect of abuse on happiness via the family environment was significant (β = –0.019, 95% CI [–0.044, –0.003]). Furthermore, the total effect of abuse on mental health (β = 0.266, 95% CI [0.164, 0.354]) and abuse on happiness (β = –0.152, 95% CI [–0.259, –0.050]) was significant. The study reveals that abuse experiences impact happiness and mental health outcomes among students. The family environment mediates the relationship between child abuse and mental health, and between child abuse and happiness.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139159911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preparation of Children for Deposition in the Court in POCSO Cases: Insights from Children’s Perspectives","authors":"Harshini Manohar, Eesha Sharma, J. Kommu","doi":"10.1177/09731342231214048","DOIUrl":"https://doi.org/10.1177/09731342231214048","url":null,"abstract":"The Protection of Children from Sexual Offences (POCSO) Act (2012) is a progressive legislation enacted in accordance with the child protection policies of India, with a basic premise of gender neutrality and with due consideration to the aspects of child development in complex and difficult judiciary processes. Deposition of the child survivors is a critical part of the POCSO trial processes. It is of paramount importance to consider the developmental and mental health aspects of children and how that would influence their understanding of the judicial processes and mental health consequences during judicial proceedings. Despite the guidelines and support measures for child-friendly court procedures, the courtroom experience can be intimidating for children causing stress and in turn negative mental health impact, and preparation interventions are of immense help in this context. We present two case vignettes where court preparation interventions were used to help children to feel empowered and confident, and minimize the impact of re-traumatization experienced in recounting their abuse experiences and consequently, enabling children to provide accurate testimony in the court.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Connecting Communities to Promote Prevention of Child Sexual Abuse—The RACSHA Initiative","authors":"Sreemoyee Sen Ram, Jai Ranjan Ram","doi":"10.1177/09731342231215562","DOIUrl":"https://doi.org/10.1177/09731342231215562","url":null,"abstract":"Child Sexual Abuse (CSA) is dishearteningly common in all societies and India is not an exception. Several methodologically robust epidemiological surveys have repeatedly affirmed the fact. Prevention of abuse is a societal prerogative, but it is an exceedingly complex task. Prevention of CSA needs synergistic, affirmative action by multiple stakeholders and cannot be addressed if individuals and organizations do not attempt to work in unison. A cursory review of the processes involved in protecting children from abuse in India paints a dismal picture of fractured services and absent coordination between health workers, teachers, social services, judiciary, and NGO’s. In India, the task of collaborative work to prevent CSA is made even more difficult by the fact that there is a culture of silence around the issues, which stifles conversation by invisibilizing the phenomena.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nataraj Nandhini, Rajagopal Velu Aswini, S. Naaraayan
{"title":"The Prevalence of Stress, Anxiety and Depression Among School Going Adolescents Following Covid Pandemic","authors":"Nataraj Nandhini, Rajagopal Velu Aswini, S. Naaraayan","doi":"10.1177/09731342231208822","DOIUrl":"https://doi.org/10.1177/09731342231208822","url":null,"abstract":"COVID-19 pandemic and the lockdown which were its consequences have resulted in both short-term and long-term implications in mental health of adolescents. This study was conducted to assess the prevalence of stress, anxiety, and depression among students in the post-COVID period and its risk factors. This cross-sectional study was conducted among 300 students studying grades 9–12 in government high schools and higher secondary schools in a city in South India in October and November 2021. A self-administered questionnaire containing socio-demographic data and DASS-21 scale was used. The outcome variable, namely prevalence of stress, anxiety and depression was expressed in proportion with a 95% confidence interval. The relation between an outcome variable and socio-demographic variables was determined by a chi-square test and p value <.05 was considered significant. Mean (standard deviation) age was 15.76 (1.104) years and 50.7% were boys. The prevalence (95% confidence interval) of stress, anxiety and depression were 30.3% (25.18–35.88), 47.3% (41.57–53.15) and 56.7% (50.85–62.35), respectively. Maternal illiteracy was significantly associated with stress and depression ( p < .5). Consequent to the COVID-19 pandemic, almost one-third of school-going adolescents aged 14–18 years’ experience stress and almost half of them experience anxiety and depression which is comparable to that observed before the onset of this pandemic.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual Offences on Children—Principles of Child Jurisprudence and NCPCR","authors":"Shantha Sinha","doi":"10.1177/09731342231214323","DOIUrl":"https://doi.org/10.1177/09731342231214323","url":null,"abstract":"The issue of child sexual violence violates each one of us and our sensibilities. Its prevalence in its myriad forms interrogates us, both at a personal level and at a societal level. It questions existing social norms and values, our ethical and moral fiber, and state (in)action. It pushes us out of our comfort zone, to experience a fugue of emotions of helplessness, indignation, sense of urgency or wanting to act. What it does to children is unfathomable! It compels one to reckon with what the child is at the present, her “being” and dignity and take cognizance of her “becoming” a person with agency and confidence in future. Justice for children cannot be dealt with in a fragmented manner but is seen in totality of her life from being a child to becoming an adult.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethical Dilemma vs Legal Dilemma in a Case of Child Sexual Abuse","authors":"Nidhi Chauhan","doi":"10.1177/09731342231214322","DOIUrl":"https://doi.org/10.1177/09731342231214322","url":null,"abstract":"","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138596706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Study on Effect of Sleep Training Program in Children with ADHD: A Comparative Prospective Study","authors":"Henal Shah, Allauki Dani","doi":"10.1177/09731342231184438","DOIUrl":"https://doi.org/10.1177/09731342231184438","url":null,"abstract":"To study complementary effect of sleep training program in children with attention deficit hyperactivity disorder (ADHD) receiving tablet methylphenidate with respect to sleep, quality of life (social, behavioral, emotional, and executive functioning of children), and their parent’s emotional state. It was a comparative and prospective study, and it was conducted in child mental health services of a tertiary care municipal hospital. The children (age 8−12 years) were diagnosed with ADHD using DSM 5 criteria. The children’s sleep habit questionnaire (CSHQ) and Kiddie-SADS-PL questionnaire (K-SADS-PL) were used to select 100 consecutive participants (parent–child dyad). They were randomly equally divided into two groups: A and B. Semi-structured proforma was filled and different scales were applied for children; these scales include Strengths and Difficulties Questionnaire (SDQ), Pediatric Quality of Life Inventory (PQLI), Stroop test (ST) and Verbal fluency test (VFT), and to parent-Depression Anxiety Stress Scale-21 (DASS-21). The participants in group A received a validated sleep intervention and the scales were reapplied after 12 weeks. We used Chi-square test, paired t-test, unpaired t-test, Wilcoxon signed-rank test, Mann-Whitney U test, Spearman’s correlation test, and logistic regression analysis for data analysis. p-Value <.05 was taken as significant. SPSS version 20 software was used for data analysis. We found significant post-intervention improvement in sleep, quality of life, social, emotional, behavioral, and executive functioning in children and emotional factors in parents. The combination of sleep intervention and tablet methylphenidate were more effective in improving these factors.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Child Abuse: Dimensionality and Transdisciplinarity","authors":"Shekhar Seshadri, None SAMVAD (Advisor)","doi":"10.1177/09731342231209460","DOIUrl":"https://doi.org/10.1177/09731342231209460","url":null,"abstract":"","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134991385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}